Question 1

Which psychosocial concern should the nurse monitor for when providing care to a school-aged child who is diagnosed with pediculosis?&#10;A) Itching of the scalp&#10;B) Feeling dirty&#10;C) Applying medication appropriately&#10;D) Educating the family on prevention&#10;

Accepted Answer

The psychosocial concern for a school-aged child with pediculosis is feeling dirty, as having lice is often stigmatized and can lead to feelings of shame and embarrassment. The child may also be teased or excluded by peers. Itching, medication application, and education on prevention are important aspects of treatment, but do not address the psychosocial concern.

Question 2

Which deciduous teeth should the nurse anticipate the school-aged child will lose first?&#10;A) Lateral incisors&#10;B) Central incisors&#10;C) Third molars&#10;D) Second molars&#10;

Accepted Answer

The central incisors are typically the first deciduous teeth to be lost, usually around age 6 or 7 years old.

Question 3

Which activity is easier for a school-aged child because of changes in proportions from the preschool stage of development?&#10;A) Climbing&#10;B) Handwriting&#10;C) Problem-solving&#10;D) Cooperative play&#10;

Accepted Answer

Climbing becomes easier for school-aged children due to the changes in their body proportions. As they grow older, their legs become longer and their arms become stronger, which makes climbing easier than it was during the preschool stage of development. Handwriting, problem-solving, and cooperative play do not necessarily become easier due to changes in body proportions.

Question 4

Which questions related to socialization should the nurse include when assisting with the assessment of a school-aged child who is new to the pediatric practice? (Select all that apply.)&#10;A) &#34;What grade are you currently attending?&#34;&#10;B) &#34;At what age did your child cut the first tooth?&#34;&#10;C) &#34;Do you have a best friend at your new school?&#34;&#10;D) &#34;What was your child's approximate length at 1 year of age?&#34;&#10;E) &#34;What was your child's approximate weight at 6 months and at 1,2,and 5 years of age?&#34;&#10;

Accepted Answer

Questions A and C are related to the child's socialization and integration into their new school environment. Questions B, D, and E are related to developmental milestones and physical growth, which are important but not directly related to socialization.

Question 5

Which type of relationship is most important to the school-aged child?&#10;A) Same-sex peer relationship&#10;B) Opposite-sex peer relationship&#10;C) Same-sex parental relationship&#10;D) Opposite-sex parental relationship&#10;

Accepted Answer

Same-sex peer relationships are most important to school-aged children because they provide a context for social learning, such as cooperation, competition, and the development of social norms and values. These relationships also help in the development of a sense of identity and belonging.

Question 6

Which should the nurse encourage for a school-aged patient to enhance a sense of accomplishment?&#10;A) Wearing makeup&#10;B) Going on a date&#10;C) Participating in sports activities&#10;D) Gaining weight during the school year&#10;

Accepted Answer

Participating in sports activities can help a school-aged patient enhance their sense of accomplishment as it allows them to set goals, work towards them, and achieve success through teamwork and individual effort. This can build confidence and self-esteem, leading to a sense of accomplishment. Wearing makeup or going on a date may not necessarily enhance a sense of accomplishment, while gaining weight during the school year may lead to negative body image and low self-esteem.

Question 7

The nurse is providing care to a school-aged patient who is overweight.Which nursing action is appropriate to enhance the child's intake of a healthy diet?&#10;A) Offering food as a reward for good grades&#10;B) Encouraging the consumption of high-fat foods&#10;C) Educating on the importance of soda consumption&#10;D) Making fruits and vegetables available for daily snacks&#10;

Accepted Answer

Making fruits and vegetables available for daily snacks is the appropriate nursing action to enhance the child's intake of a healthy diet. This promotes the consumption of nutrient-dense foods and can help support weight loss or weight management efforts. Offering food as a reward for good grades can encourage emotional eating habits and does not promote a healthy relationship with food. Encouraging the consumption of high-fat foods and educating on the importance of soda consumption are not appropriate actions as they do not align with promoting a healthy diet.

Question 8

According to Erikson,which should the nurse anticipate when assessing a school-aged child? (Select all that apply.)&#10;A) Being engaged in tasks&#10;B) Questioning sexual identity&#10;C) Having highly imaginative thoughts&#10;D) Wanting to participate in organized activities&#10;E) Struggling with self-control and independence&#10;

Accepted Answer

According to Erikson's theory of psychosocial development, children in the school-aged stage (ages 6-12) are focused on mastering tasks and developing a sense of competence. They also have a desire to participate in organized activities and sports. Therefore, options A and D are correct. Options B, C, and E are not relevant to this developmental stage as they are more focused on earlier or later stages of development.

Question 9

The nurse is conducting a growth and development assessment and must calculate the body mass index (BMI)of a pediatric client.The child's weight is 33 lb and 4 oz.The child's height is 37 and 5/8 in.tall.What is the child's BMI?

A) 14.5
B) 15.5
C) 16.5
D) 17.5

Accepted Answer

First, convert the weight into pounds:
33 lb + 4 oz/16 oz per lb = 33.25 lb

Next, convert height into inches:
37 in + 5/8 in = 37.625 in

Then, use the formula for BMI:
BMI = (weight in pounds / (height in inches x height in inches)) x 703

BMI = (33.25 / (37.625 x 37.625)) x 703
BMI ≈ 16.5

Therefore, the child's BMI is approximately 16.5, so the answer is C.

Question 10

According to Piaget,which data does the nurse expect for a school-aged child during the nursing assessment process? (Select all that apply.)&#10;A) Classifying objects&#10;B) Understanding reversibility&#10;C) Having theoretical thoughts&#10;D) Describing a process without actually doing it&#10;E) Believing personal actions are constantly being scrutinized&#10;

Accepted Answer

The answer of According to Piaget,which data does the nurse...

Question 11

Which behavior noted by the school-aged patient indicates the development of conservation?&#10;A) Learning to spell&#10;B) Becoming interested in collections&#10;C) Developing a sense of cause and effect&#10;D) Being able to classify objects according to mass&#10;

Accepted Answer

The answer of Which behavior noted by the school-aged patient...

Question 12

How many hours of sleep should the nurse recommend for an 11-year-old patient?&#10;A) 6 to 8&#10;B) 8 to 10&#10;C) 10 to 12&#10;D) 14 to 16&#10;

Accepted Answer

The answer of How many hours of sleep should the...

Question 13

Which stage of development is characterized by a slower,steadier pattern of growth and development?&#10;A) Toddler&#10;B) Preschool&#10;C) School-age&#10;D) Adolescence&#10;

Accepted Answer

The answer of Which stage of development is characterized by...

Question 14

Which information related to school-aged play should the nurse include in a teaching session for the parents of children in this stage of development? (Select all that apply.)&#10;A) Team play&#10;B) Card games&#10;C) Parallel play&#10;D) Board games&#10;E) Club membership&#10;

Accepted Answer

The answer of Which information related to school-aged play should...

Question 15

The nurse is teaching the parents of a 6-year-old child what to expect in terms of normal growth and development.Which parental statement indicates the need for further education?&#10;A) &#34;My child's vision has reached maturity.&#34;&#10;B) &#34;I should expect my child to be constantly active.&#34;&#10;C) &#34;Finger feeding is abnormal and indicates the need for intervention.&#34;&#10;D) &#34;A coloring book is a developmentally appropriate activity for my child.&#34;&#10;

Accepted Answer

The answer of The nurse is teaching the parents of...

Question 16

Which teaching point regarding safety should the nurse include in instructions for the parents of a school-aged patient?&#10;A) &#34;Consider getting a pet for your child.&#34;&#10;B) &#34;Plan play dates for your child to attend on afternoons you are not home.&#34;&#10;C) &#34;Teach your children not to let others know that they are home alone after school.&#34;&#10;D) &#34;Encourage your child to use a helmet when riding a bike.Other equipment is not necessary.&#34;&#10;

Accepted Answer

The answer of Which teaching point regarding safety should the...

Question 17

Which physical change noted by the nurse during a growth and developmental assessment for a 7-year-old patient necessitates further action?&#10;A) Pubescent changes&#10;B) Weight gain of 4 lb (2 kg)per year&#10;C) Eruption of central incisors&#10;D) Height increase of 1 to 2 feet (30 to 60 cm)during the entire period&#10;

Accepted Answer

The answer of Which physical change noted by the nurse...

Question 18

At which stage of development should the nurse anticipate that pediatric patients will begin to show differences in play activities that are related to gender?&#10;A) Preschool&#10;B) Adolescence&#10;C) Late school age&#10;D) Early school age&#10;

Accepted Answer

The answer of At which stage of development should the...

Question 19

Which growth and developmental change indicates increased maturity during the school-aged stage of development?&#10;A) An increase in leg length in relation to height&#10;B) A decreased head circumference in relation to standing height&#10;C) The face growing faster in relation to the remainder of the cranium&#10;D) Little increase in the size of the skull and the brain,which grow very slowly&#10;

Accepted Answer

The answer of Which growth and developmental change indicates increased...

Question 20

The mother of a school-aged patient says,&#34;My daughter appears much thinner than she did a few years ago.Should I be worried?&#34; Which response by the nurse is most appropriate?&#10;A) &#34;Does your child vomit after meals?&#34;&#10;B) &#34;How many meals does your child eat each day?&#34;&#10;C) &#34;It is important that we monitor your concern closely with frequent visits.&#34;&#10;D) &#34;Body fat diminishes and distribution changes during this stage of development.&#34;&#10;

Accepted Answer

The answer of The mother of a school-aged patient says,&#34;My...

Deck 24: Health Promotion of the School-Aged Child